All India Education Council, New Delhi

To, The Chairman/Secretary
All India Education Council
New Delhi

Application Form for Opening a Center/
1. Registration Details / पंजीयन का विवरण * अनिवार्य फिल्डस (Mandatory fields)
Registration Number of the Trust/Society*
Name Of The Trust/Society*
Address Of The Trust/Society*
2. Applicant's Personal Details * अनिवार्य फिल्डस (Mandatory fields)
Applicant Name *
Care Of *
Father Name *
Mother's Name / माता का नाम *
Date of Birth / जन्म दिनांक * (MM/DD/YYYY)	( As per high school certificate in 'MM/DD/YYYY' format. i.e. '01/16/1999' )
Category / श्रेणी *
Gender / लिंग *
3. Contact Details / संपर्क विवरण* अनिवार्य फिल्डस (Mandatory fields)
Phone with STD Code / पता *
Mobile Number / मोबाइल नंबर *
Email Address / ईमेल पता	([email protected])
4. Educational / Qualification Details / षैक्षिक / योग्यता का विवरण* अनिवार्य फिल्डस (Mandatory fields)
Highest Educational Qualification / शैक्षिक योग्यता *
Year of Passing / *
Roll No /*
Result /*
5. Applicant’s Personal Details / आवेदक का व्यक्तिगत विवरण* अनिवार्य फिल्डस (Mandatory fields)
Address Line 1/ पता 1 *
Address Line 2/ पता 2 *
Address Line 3/ पता 3 *
City Name/*
State*
District*
Pin Code / पिन कोड *
6. Name and Address of thr College/Institute Details / * अनिवार्य फिल्डस (Mandatory fields)
College/Institute Name *
Address Line 1/ पता 1 *
Address Line 2/ पता 2 *
State*
District*
Pin Code*
7. College/Institute Contact Details / * अनिवार्य फिल्डस (Mandatory fields)
Mobile No.*
Email ID*
Web site
8. Course / * अनिवार्य फिल्डस (Mandatory fields)
Allied Health Education Computer Courses Paramedical Courses Teacher Education Vocational Courses Yoga And Naturopathy Courses
Hospital Name
Teacher Highest Qualification
Upload Photo
Upload Signature
Upload Thumb
Upload Center Photo

Declaration

Before The Chairman/Secretary
All India Education Council

I/Shri__________	Father’s Name________

Resident of ___	_______

Distt_______

Pin_____

Phone No._______

Declare as Under:

1. Our Institute will work as an Authorized study centre of All India Education Council New Delhi
2. All the Admission/ Examination documents collected from the organization will b e kept safely/ confidentially by me & its will be my responsibility for its timely distribution in the centre.
3. That our institute will work according to the rules & regulation of the organization & I agree with all the rules & regulation of the organization.
4. In no circumstances the enrollment number or exam result will be asked for in the even of the does n ot being paid to the All India Education Council New Delhi
5. In any case I will not received Examination Fees in cash from students and examination Fees will be excepted by Banker’s Cheque in favor of “All India Education Council”or Maharishi Dyanand Education Society.
6. All The Courses Run By All India Education Council (AIEC, New Delhi) & Vocational Course Run By and Valid For Self Employment.
That I/We have read and understood the rules & regulation of the Organization and only after complete Satisfaction, this declaration is being made, which may be used for legal purposes whenever required. In the event of an dispute will be settled by the committee appointed by the All India Education Council under the provisions of the Indian Attribution Act 1940 and its decision will be binding on all concerned & I/ We will Liable to all the expense.

Therefore, I/We_____declare that time the information Furnished in the form for Establishment of centre are true to the best of my knowledge and belief and will remain in force and binding on me and my successor for the Center’s association with the organization.

Signature of the declarant

Declaration

On behalf of the educational agency managing____I_____Son/Daugther of ________do hereby declare that the particulars furnished above are correct to the best of my knowledge and belief and that I am prepared to undergo any punishment imposed on me if any of the particulars furnished are found to be false and misleading. I also further declare that I shall abide by the conditions rules and regulative measures imposed by the All India Education Council (AIEC, New Delhi) /MDES from time to time for granting permission/affiliation to establish and run this institution.

Place:…………
Date: ………………………………
Signature of Centre’s Head